NPI 1003418914

Nneoma Joy Agwu

Practitioner Pharmacist Port Lavaca, TX

Practice location

Address: 400 Tiney Browning Blvd, Port Lavaca, TX 77979-2425
Phone: (361) 552-3525
Mailing address: 13719 Robin Hill CT, Houston, TX 77059-3514

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 61331 (TX)

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Registry record

NPI: 1003418914
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2020
Record last updated: 16 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.